withdrawal formIf you want to cancel the contract , please fill out this form and send it to:

Wertstueck FlickliKathrin JahnesWühlischstraße 2810245 Berlin

Germany

or by email :

widerruf@wertstueck.eu

- Hereby give notice that (s) I / we_______________________________________________________________________________from my / our________________________________________________________________________________concluded contract for the purchaseof the following goods / provision of the following services ( *)________________________________________________________________________________________________